Claims Resolution Specialist

Compensation: $18-$22/hour plus benefits

About Us: 

Since 1999, we have been a family of forward-thinking physical therapy clinics in California, Arizona, and North Carolina with a shared belief that moving with purpose leads to a happier and healthier life--We believe the most important thing about life is how we move through it.  

• Employee-Owned Company
• Recipient of the American Physical Therapy Association's Jayne L. Snyder Private Practice of the Year Award

Also, we are proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or Veteran status. If you have a disability or special need that requires accommodation, please let us know.

Description, Responsibilities, & Tasks:

• Knowledge of basic medical billing practices and insurance claim filing. 
• Knowledge of basic payer reimbursement rules and strategies. 
• Professional communication skills and high level of quality customer service skills.  
• Follow internal revenue collection procedures to submit claims and follow up with insurance companies and patients as needed. 
• Work closely with front office managers to maintain efficiency in billing, follow procedures, and provide customer service to the Movement for Life team of clinics. 
• Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations. 
• Responsible for striving to achieve established individual assigned targets/goals and department targets/goals.
• Reports to Claims Resolution Supervisor and Billing Director.  
• Requesting missing and incomplete information from clinics to ensure preparation of clean outgoing claims. 
• Answers questions of patients, insurance companies, and clinics. 
• Follows and reports status of delinquent accounts. Follows processes and procedures as established by Claims Resolution Supervisor.  Maintains and processes correspondence, appeals insurance denials.
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims, gathering documents to resubmit claims to insurance companies.
• Following up with aged insurance balances to effectively reduce accounts receivables.
• Professional communication with administrative and billing department colleagues, clinic employees, and patients. 
• Providing feedback as requested by management. 
• Participates in monthly billing meeting and claims resolution meetings.

Benefits:

• Profit Sharing: A team profit sharing plan in which the organization contributes dollars into individual team member accounts based on the success of the practice. Once eligible, you are automatically enrolled.
• Employee Stock We are 100% employee-owned! The employees of Movement for Life own all of the shares in our company. Eligible employees receive shares in the company at no cost to the employee and you are automatically enrolled.
• 401(k) You have the option to open a 401(k) account and contribute pre-tax dollars via payroll deduction and have a broad range of investment choices.
• Healthcare: Medical, dental, and vision plans are offered to eligible full-time employees. We cover $325/month of the cost. All eligible employees are enrolled in an employer-paid life insurance policy as well.
• Paid Time Off We offer 3 weeks or 15 days/year for the first 2 years of employment, 4 weeks or 20 days/year when beginning your third year, 5 weeks or 25 days/year after 10 years of employment. All PTO accrues per pay period to equal these amounts annually. Additionally, we offer selected paid holidays.

The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not designed to be interpreted, as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees, assigned to this job. Management has sole discretion to add or modify duties of the job and to designate other functions as essential at any time. This job description is not an employment agreement or contract.

movementforlife.com